2026 Wildfires — Member Support Form

Share Your Experience

If you or a fellow member has been impacted by the wildfires, please use this form to tell us what you are facing. Your information helps Council 2 better understand members' needs and respond with care, urgency, and solidarity.

We are committed to monitoring conditions closely, listening to our members, and standing with you through meaningful support.

Contact Information

First Name *

Last Name *

Your Phone Number *

Your Email Address *

Your Home Address *

Address Line 1 *

City *

State *

Zip Code *

Temporary Address

Complete this section if you have been displaced from your home.

Address Line 1

Address Line 2

City

State

Zip Code

Union Membership *

I am a Union member. I'm not, but a member of my household is a Union member.

Union Name *

Union Local # *

Union Contact *

Losses and Support Needed

Check all the losses that apply *

Number of People in Your Household *

Attach image(s), proof of loss, or other supporting evidence

Optional. JPG, PNG, WEBP, or PDF. Maximum 10 MB per file.

Please explain your hardship in detail and prioritize your greatest needs *

Today's Date *

Privacy Notice

Council 2 will use the information you provide to understand member needs related to the 2026 wildfires and to coordinate an appropriate response. Your information and supporting documents are stored securely and are available only to authorized Council 2 personnel. They will be retained in accordance with Council 2's applicable records-retention practices.

Please do not include Social Security numbers, bank account numbers, or other information not requested by this form.